Early type III endoleak with an Endurant endograft

We report the case of an 81-year-old man who presented with an intraoperative type III endoleak after treatment with an Endurant endograft for a 60-mm abdominal aortic aneurysm. To our knowledge, this is the first case of a type III endoleak reported with this new device. It was most likely due to a...

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Veröffentlicht in:	Journal of vascular surgery 2010-12, Vol.52 (6), p.1665-1667
Hauptverfasser:	Abouliatim, Issam, MD, Gouicem, Djelloul, MD, Kobeiter, Hicham, MD, Majeski, Marek, MD, Becquemin, Jean-Pierre, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged, 80 and over Aortic Aneurysm, Abdominal - surgery Biological and medical sciences Blood Vessel Prosthesis Implantation - adverse effects Endoleak - diagnosis Endoleak - diagnostic imaging Endoleak - etiology Endovascular Procedures - adverse effects Humans Male Medical sciences Radiography Stents - adverse effects Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tobacco, tobacco smoking Toxicology Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Zusammenfassung:	We report the case of an 81-year-old man who presented with an intraoperative type III endoleak after treatment with an Endurant endograft for a 60-mm abdominal aortic aneurysm. To our knowledge, this is the first case of a type III endoleak reported with this new device. It was most likely due to a tear in the polyester graft, the cause of which remains speculative. The tear was demonstrated by postoperative angiography, which was more informative than computed tomography. The endoleak was successfully treated by relining with an aorto-uni-iliac device.
ISSN:	0741-5214 1097-6809
DOI:	10.1016/j.jvs.2010.07.020